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Evaluation of the Better Access to Psychiatrists, Psychologists and GPs through the Medicare Benefits Schedule initiative: component B: an analysis of Medicare Benefits Schedule (MBS) and Pharmaceutical Benefits Scheme (PBS) administrative data

Chapter 6: Protocol-based care

Page last updated: August 2010

6.1 Overview

6.2 Patterns of care following a GP Mental Health Treatment Plan

6.3 Volume of services delivered by allied health professionals

6.4 Summary of findings

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  • Table of contents
  • Executive summary
  • Chapter 1: Background
  • Chapter 2: Method
    • 2.1 Evaluation questions
    • 2.2 Data sources
    • 2.3 Statistical methods
    • 2.4 Ethics approval
  • Chapter 3: Access
    • 3.1 Overview
    • 3.2 What has been the rate of uptake of Better Access services overall?
    • 3.3 What has been the rate of uptake of Better Access services by item group?
    • 3.4 What has been the rate of uptake of Better Access services by provider type?
    • 3.5 What has been the relative uptake of items within item groups?
    • 3.6 What are the socio-demographic characteristics of consumers who have received Better Access services?
    • 3.7 Have there been changes over time in the socio-demographic profile of consumers who have received Better Access services?
    • 3.8 To what extent is Better Access providing services to 'new' consumers?
    • 3.9 Key findings
  • Chapter 4: Affordability
    • 4.1 Overview
    • 4.2 What has been the rate of services provided and costs of Better Access services overall?
    • 4.3 Do rates of co-payment for Better Access services vary across population subgroups?
      • Figures: Rates of co-payment and average co-payments according to socio-demographic characteristics
      • Tables: All MBS-subsidised Better Access services received
      • Tables: MBS-subsidised GP Mental Health Treatment Better Access services received
      • Tables: MBS-subsidised Consultant Psychiatry Better Access services received
      • Tables: MBS-subsidised Psychological Therapy Services Better Access services received
      • Tables: MBS-subsidised Focussed Psychological Strategies Better Access services received
      • Tables: MBS-subsidised General Psychologist Better Access services received
      • Tables: MBS-subsidised Occupational Therapist Better Access services received
      • Tables: MBS-subsidised Social Worker Better Access services received
    • 4.4 Summary of findings
  • Chapter 5: Equity
    • 5.1 Overview
    • 5.2 What is the distribution of mental health need at the individual level?
    • 5.3 What is the relative distribution of mental health need across Divisions of General Practice?
    • 5.4 What is the relative distribution of Better Access and allied health Better Access services used across Divisions of General Practice?
    • 5.5 What are the rates of Better Access and allied health Better Access services according to key Division-level factors?
    • 5.6 What is the relationship between mental health need and Better Access uptake, service use and benefits paid at the Division level?
    • 5.7 Key findings
  • Chapter 6: Protocol-based care
    • 6.1 Overview
    • 6.2 Patterns of care following a GP Mental Health Treatment Plan
    • 6.3 Volumes of services delivered by allied health professionals
    • 6.4 Summary of findings
  • Chapter 7: Interdisciplinary care
    • 7.1 Overview
    • 7.2 What is the distribution of uptake and service use across different combinations of MBS Better Access items?
    • 7.3 Do patterns of interdisciplinary care vary according to socio-demographic characteristics?
    • 7.4 Summary of findings
  • Chapter 8: Impact on prescribing
    • 8.1 Overview
    • 8.2 Has there been a change in demand for antidepressant and anxiolytic medications since the introduction of Better Access?
    • 8.3 Has there been a change in demand for antidepressant and anxiolytic medications since the introduction of Better Access among people eligible to receive medications at a concession price?
    • 8.4 What is the relationship between Better Access uptake and demand for antidepressant and anxiolytic medications at a Divisional level?
    • 8.5 Summary of findings
  • Chapter 9: Impact on related programs
    • 9.1 Overview
    • 9.2 Has there been a reduction in demand for non-Better Access health MBS services since the introduction of Better Access?
    • 9.3 Do patterns of demand for non-Better Access mental health MBS services differ between metropolitan and rural or remote regions?
    • 9.4 What is the relationship between Better Access uptake and demand for non-Better Access mental health MBS services at a divisional level?
    • 9.5 Does the relationship between Better Access uptake and demand for non-Better Access mental health MBS services at a divisional level differ between metropolitan and rural or remote regions?
    • 9.6 Has there been a reduction in demand for ATAPS psychological services since the introduction of Better Access?
    • 9.7 Do patterns of demand for ATAPS psychological services differ between metropolitan and rural or remote regions?
    • 9.8 What is the relationship between Better Access uptake and demand for ATAPS psychological services at a divisional level?
    • 9.9 Does the relationship between Better Access uptake and demand for ATAPS psychological service at a divisional level differ between metropolitan and rural or remote regions?
    • 9.10 Summary of findings
  • Chapter 10: Discussion
  • References
  • Appendix 1. Glossary
  • Appendix 2. List of abbreviations

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